| Kiersten Haugerud, | |
|
1110 7th Ave, Cumberland, WI 54829-9138 | |
| (715) 822-7200 | |
| (715) 822-7221 |
| Full Name | Kiersten Haugerud |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1110 7th Ave, Cumberland, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518678093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 29-3537 (Wisconsin) | Primary |
| Provider Name | Cumberland Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831243757 PECOS PAC ID: 7719889203 Enrollment ID: O20040124000061 |
| Provider Name | Cumberland Memorial Hospital Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1831243757 PECOS PAC ID: 7719889203 Enrollment ID: O20061104000515 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiersten Haugerud, 1110 7th Ave, Cumberland, WI 54829-9138 Ph: (715) 822-7200 | Kiersten Haugerud, 1110 7th Ave, Cumberland, WI 54829-9138 Ph: (715) 822-7200 |
Susan Rouzer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1110 7th Ave, Cumberland, WI 54829 Phone: 715-822-2741 | |
Ally Roberts, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1110 7th Ave, Cumberland, WI 54829 Phone: 715-822-7200 | |
Kelly Jo Johnson, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1705 16th Ave, Cumberland, WI 54829 Phone: 715-822-7500 Fax: 715-822-7501 |